| Shama P Quraishi Md Pllc | |
|
2342 Dowlen Rd Ste 102 Beaumont TX 77706-2537 | |
| (409) 832-7195 | |
| (409) 832-8199 |
| Full Name | Shama P Quraishi Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2342 Dowlen Rd Ste 102, Beaumont, Texas |
| Authorized Official Name and Position | Shama P Quraishi (DIRECTOR) |
| Authorized Official Contact | 4097813698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shama P Quraishi Md Pllc 5080 Oakmont Dr Beaumont TX 77706-7641 Ph: (409) 832-7195 | Shama P Quraishi Md Pllc 2342 Dowlen Rd Ste 102 Beaumont TX 77706-2537 Ph: (409) 832-7195 |
| NPI Number | 1013383827 |
|---|---|
| Provider Enumeration Date | 08/15/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7315238516 |
|---|---|
| Medicare Enrollment ID | O20160620000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013383827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1627 (Texas) | Primary |
| Provider Name | Shama P Quraishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649262007 PECOS PAC ID: 2769450899 Enrollment ID: I20040917000134 |
| Provider Name | Ramya Hullur Subramanyam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396902672 PECOS PAC ID: 8325290786 Enrollment ID: I20161201000365 |
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